Providence Group Practices LLC
Providence Group Practices LLC was paid $119K by Medicaid between Jan 2018 and Jan 2019, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
COLUMBIA, SC 29204
Next to other Clinical Cardiac Electrophysiology Physician providers in South Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,484 | $102K | |
| 2019 | 634 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 63% | 2,185 | 2,063 | $75K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 14% | 337 | 329 | $16K |
| 93000 | 11% | 1,839 | 1,780 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 264 | 243 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.8% | 1,244 | 1,036 | $6K |
| 93296 | <1% | 93 | 90 | $1K | |
| 93295 | <1% | 42 | 41 | $775.78 | |
| 93297 | <1% | 74 | 69 | $614.85 | |
| 93294 | <1% | 15 | 15 | $119.18 | |
| 99152 | <1% | 25 | 25 | $73.14 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| DLP Twin County Physician Practices LLC | Galax, VA | $3.66M |
| DLP Marquette Physician Practices INC | Marquette, MI | $1.23M |
| DLP Twin County Physician Practices LLC | Hillsville, VA | $570K |
| DLP Twin County Physician Practices LLC | Galax, VA | $482K |
| Amg - Hillside, LLC | Pulaski, TN | $309K |
| DLP Maria Parham Physician Practices, LLC | Henderson, NC | $169K |
| DLP Maria Parham Physician Practices, LLC | Henderson, NC | $138K |
| Vaughan Physician Practices LLC | Selma, AL | $136K |
| DLP Twin County Physician Practices LLC | Galax, VA | $119K |
| Castleview Physician Practices, LLC | Price, UT | $110K |
| Bolivar Physician Practices LLC | Cleveland, MS | $105K |
| Amg-Hillside LLC | Pulaski, TN | $98K |
| Clark Regional Physician Practices LLC | Winchester, KY | $62K |
| Vaughan Physician Practices LLC | Selma, AL | $59K |
| DLP Conemaugh Physician Practices LLC | Johnstown, PA | $49K |
| Minden Physician Practices LLC | Minden, LA | $30K |
| Amg Hillside LLC | Pulaski, TN | $24K |
| Meadowview Physician Practice LLC | Maysville, KY | $20K |
| Castleview Physician Practices LLC | Price, UT | $14K |
| Castleview Physician Practices, LLC | Price, UT | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.